Shauntile Anderson, NP
Nurse Practitioner in Waycross, GA. Individual provider (NPI-1).
NPI number1316640238
StatusActive
Last updated in NPPESMar 22, 2023
Details
- NPI
- 1316640238
- Entity type
- Individual (NPI-1)
- Name
- Shauntile Anderson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2023
- Certification date
- Mar 22, 2023
- Last updated
- Mar 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN270925 | GA | Yes |
Practice location
1007 Mary StWaycross, GA 31503-3823
Phone 912-449-7111 · Fax 912-449-7060
Mailing address
1007 Mary StWaycross, GA 31503-3823
Phone 912-449-7111 · Fax 912-449-7060
Other practice locations
3455 Harris Rd
Waycross, GA 31503-8960
Waycross, GA 31503-8960
Phone 912-449-7100 · Fax 912-449-7060
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